What type of doctor performs vaginal rejuvenation? Plastic surgeon, OB/Gyn or Urogynecologist?
Doctor Answers 13
Choosing the right Vaginal Rejuvenation Surgeon
To answer your biggest concern, yes you can have vaginal rejuvenation with a rectocele. To correct your rectocele you would need a Posterior Repair.
Most importantly, you will need to find a surgeon that specializes in the repair of female pelvic reconstruction and vaginal rejuvenation. Typically this would be a Urogynecologist. Someone that has additional speciality training after completing residency in Obstetrics and Gynecology. Urogynecologists undergo fellowship training where they spend several years focusing only on these disorders.
Who (what type of surgeon) should perform vaginal tightening and pelvic support operations
Although an occasional Plastic Surgeon will perform intra-vaginal surgery, pelvic support operations and vaginal tightening surgery for reasons of improving sexual function are the pervue of experienced Gynecologists and Urogynecologists. Unfortunaltly however, the vast majority of Gyn's and Urogyn's, although they may be well-experienced in site-specific repairs, pelvic floor support procedures, and tape/mesh incontinence operations, have little vision when it comes to modifying these operations to include vaginal tightening, elevation and strengthening of the perineal body, and fashioning an aesthetically pleasing finish to the introitus (vaginal opening).
These are elements that certainly any experienced Gyn surgeon could learn, but most do not take the time. So... for you: find an experienced Gyn or Urogyn for your support surgery, and negotiate with her or him to modify their surgery to include overall vaginal tightening; make sure they are aware, and note in their records, that the "look" of the opening, approximation of the "levator" muscles, overall minimization of vaginal caliber, and post-operative pelvic floor physical therapy for improving muscular strength are important for you.
Or... find an experienced cosmetic Gynecologist or Urogynecologist. With the advent of improved retractor systoms, some of us (myself included) now perform these surgeries in our office surgical suites under local anesthesia, a strong plus for overall comfort, better recovery, improved safety, and significantly lower overall cost.
For additional information, please refer to the link below...
Michael P Goodman MD
Best Surgeon for #VaginalRejuvenation
These surgeries are best performed by carefully selected Plastic Surgeons or Gynecologists. As this is not a very common procedure it is important that you choose a specialist who has significant experience in these procedures to get the best result with the least number of complications. See the below link on how to find the most experienced surgeon.
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Best doctor for vaginal rejuvenation
Rejuvenation can be performed by any of the specialties you
As the problem becomes more complicated, you should seek a gyn who is experienced in these procedures.
Any of these, as long as...
Urogyn is best
Hope this helps!
Rectocele repair and vaginoplasty...two different things
Vaginal rejuvenation and labiaplasty
I evaluate three parts of the perineum: labia majora, labia minora (and prepuce, or clitoral hood), and the vaginal muscle sling.
Labiaplasty is commonly performed in the office with excellent results and little risk. There are several approaches to this; the best plan is an individualized one for each specific patient.
For true "vaginaplasty" the entire muscular tube of the vagina is tightened. This is a bigger procedure, performed in a hospital, and should not be confused with hymenoplasty where just the outermost portion of the vaginal orifice is tightened.
Most women with lax or patulous vaginas derive significant improvement in vaginal tone from exercise alone (do an on-line search for a device called the KegelMaster 2000).
When there has been muscular damage or scarring (usually from childbirth) then a full repair is done.
Vaginal reconstructive surgery
Who should perform a rectocele repair.
Having both a rectocele and cystocele may indicate that you have vaginal wall weakening and organ prolapse. I would strongly encourage you to seek an Gyn surgeon with experience in dealing with these issues or a urogynecologist who is trained in dealing with these specific issues.
The good news is that the rectocele and cystocele that are causing your quality of life issues can be fixed and in the process you can have a vaginal tightening procedure.
Hope that helps.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.